NPI | 1659716116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT117885) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF70689) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2020-11-17 |