NPI | 1154475127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46010) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV LMFT2626-R) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2024-07-29 |