NPI | 1124451331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105689) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2013-08-12 |
Last Update Date | 2021-12-13 |