NPI | 1073125522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT140011) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT119545) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2023-08-03 |