NPI | 1194849471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT108963) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61012010) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2022-05-16 |