NPI | 1215385885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT117291) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF92371) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2020-02-03 |