NPI | 1740511492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 78326) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3351) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2023-06-13 |