NPI | 1417067620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFTM15641) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFTM15641) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2025-03-18 |