NPI | 1245363944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46574) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF48475) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-01-06 |