NPI | 1619106325 |
---|---|
Former Name | SHANTI SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT92756) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96702) |
106H00000X Marriage & Family Therapist (Licence: CA IMF72600) | |
Enumeration Date | 2009-07-02 |
Last Update Date | 2018-03-17 |