NPI | 1114377496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT134154) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT95462) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2016-06-16 |
Last Update Date | 2023-05-13 |