NPI | 1508902214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2316) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43643 LMFT) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2023-10-23 |