NPI | 1629460290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85376) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX LMFT202549) |
Enumeration Date | 2015-02-19 |
Last Update Date | 2022-02-11 |