NPI | 1043647860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97497) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97497) |
106H00000X Marriage & Family Therapist (Licence: CA 76402) | |
Enumeration Date | 2013-10-11 |
Last Update Date | 2023-12-08 |