NPI | 1649873290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT144779) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 144779) |
Enumeration Date | 2020-11-17 |
Last Update Date | 2024-03-12 |