NPI | 1154836682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115823) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF102801) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2023-12-14 |