NPI | 1710659099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT143870) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 121079) |
Enumeration Date | 2021-10-04 |
Last Update Date | 2024-01-12 |