NPI | 1083771380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT43194) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 43194) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2019-07-22 |