NPI | 1366912404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119212) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104789) |
Enumeration Date | 2018-12-02 |
Last Update Date | 2022-09-26 |