NPI | 1376185868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT106748) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 106748) |
Enumeration Date | 2019-10-16 |
Last Update Date | 2024-10-02 |