NPI | 1205232535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102503) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF82543) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2018-04-23 |