NPI | 1669593828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97545) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF61462) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2022-02-08 |