NPI | 1033730700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT34618) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4403) |
Enumeration Date | 2020-05-04 |
Last Update Date | 2022-08-05 |