NPI | 1477083244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT122788) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF76076) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2021-12-02 |