NPI | 1225158751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT511900) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51190) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2018-08-30 |