NPI | 1275756553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT39263) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 39263) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2018-10-31 |