NPI | 1033641220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 48019) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48019) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2023-01-31 |