NPI | 1255650958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86234) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 62641) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2021-01-30 |