NPI | 1609201862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105596) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2013-09-06 |
Last Update Date | 2018-04-11 |