NPI | 1518347160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT98150) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85203) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2018-03-22 |