NPI | 1205021375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT106339) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102703) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2018-06-14 |