NPI | 1356177182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT30172) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFCC30172) |
106H00000X Marriage & Family Therapist (Licence: CA 30172) | |
Enumeration Date | 2024-09-09 |
Last Update Date | 2024-09-09 |