NPI | 1639592728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101261) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79263) |
Enumeration Date | 2014-01-27 |
Last Update Date | 2017-08-23 |