NPI | 1619302189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101315) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75671) |
Enumeration Date | 2013-09-03 |
Last Update Date | 2018-09-20 |