NPI | 1326710690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT142515) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 121878) |
Enumeration Date | 2021-10-04 |
Last Update Date | 2023-11-01 |