NPI | 1447547583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT122197) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89886) |
106H00000X Marriage & Family Therapist (Licence: CA 122197) | |
Enumeration Date | 2011-07-08 |
Last Update Date | 2020-10-12 |