NPI | 1659394278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT22650) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC22650) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2018-07-18 |