NPI | 1124355631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT53746) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 60402) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2021-11-17 |