NPI | 1093259426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99156) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LFMT-15899) |
106H00000X Marriage & Family Therapist (Licence: NJ 37FI00230600) | |
Enumeration Date | 2016-12-04 |
Last Update Date | 2024-11-12 |