NPI | 1487778668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT38852) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc38852) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2018-09-20 |