NPI | 1144756230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT132485) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT108143) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2022-09-21 |