NPI | 1568947802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119156) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT106265) |
106H00000X Marriage & Family Therapist (Licence: CA 119156) | |
Enumeration Date | 2018-10-02 |
Last Update Date | 2024-05-14 |