NPI | 1518361815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112421) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF82686) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2021-08-24 |