NPI | 1528295490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT45065) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC45065) |
106H00000X Marriage & Family Therapist (Licence: FL PMT215) | |
Enumeration Date | 2009-06-17 |
Last Update Date | 2023-03-17 |