NPI | 1417434465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107391) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001478) |
106H00000X Marriage & Family Therapist (Licence: MO 2020037407) | |
106H00000X Marriage & Family Therapist (Licence: ID LMFT-8863) | |
106H00000X Marriage & Family Therapist (Licence: WI 2148-124) | |
Enumeration Date | 2018-07-23 |
Last Update Date | 2024-04-01 |