NPI | 1730691510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118058) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF101218) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2020-02-21 |