NPI | 1467925727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT108225) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108225) |
106H00000X Marriage & Family Therapist (Licence: AZ LMFT15799) | |
Enumeration Date | 2019-01-09 |
Last Update Date | 2023-03-01 |