NPI | 1184133431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86289) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86289) |
Enumeration Date | 2017-09-28 |
Last Update Date | 2021-09-27 |