NPI | 1336628700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT124017) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108156) |
Enumeration Date | 2018-08-07 |
Last Update Date | 2021-01-26 |