NPI | 1659749521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125139) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2015-09-09 |
Last Update Date | 2022-01-02 |