NPI | 1336574896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115117) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 74123) |
Enumeration Date | 2013-09-03 |
Last Update Date | 2021-01-20 |