NPI | 1174997381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT128617) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90240) |
Enumeration Date | 2015-11-25 |
Last Update Date | 2021-10-25 |