NPI | 1134626849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT123709) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT101465) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2021-07-19 |