NPI | 1578847331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111209) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111209) |
106H00000X Marriage & Family Therapist (Licence: CA IMF95802) | |
Enumeration Date | 2011-09-28 |
Last Update Date | 2023-11-06 |