NPI | 1174876569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID MFT-8238) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT90338) |
Enumeration Date | 2012-10-22 |
Last Update Date | 2023-06-03 |