NPI | 1639592017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95094) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95094) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2024-12-27 |