NPI | 1285065821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT94045) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94045) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2018-05-16 |