NPI | 1639722440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT143622) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 143622) |
106H00000X Marriage & Family Therapist (Licence: CA 114459) | |
Enumeration Date | 2019-07-20 |
Last Update Date | 2024-01-21 |