NPI | 1689098501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 92394) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73225) |
Enumeration Date | 2014-02-12 |
Last Update Date | 2023-04-28 |