NPI | 1033619523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121595) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104336) |
Enumeration Date | 2018-02-20 |
Last Update Date | 2020-11-30 |