NPI | 1578688115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT21706) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 21706) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-03-30 |