NPI | 1568732683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT98137) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68219) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2018-08-14 |