NPI | 1598192254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105851) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75510) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2018-05-11 |