NPI | 1194020206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT92348) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2011-01-20 |
Last Update Date | 2018-08-21 |