NPI | 1164853347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT98746) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74493) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2018-04-14 |