NPI | 1336671957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121518) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF97040) |
Enumeration Date | 2017-04-02 |
Last Update Date | 2023-05-02 |