NPI | 1699108076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT90553) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 75996) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2022-07-21 |