NPI | 1043757313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109040) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF67344) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2022-02-17 |