NPI | 1316418569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT100917) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT124601) |
Enumeration Date | 2018-12-16 |
Last Update Date | 2021-02-26 |