NPI | 1669833885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112156) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91956) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2019-04-10 |