NPI | 1114207131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46994) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC46994) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2022-07-02 |