NPI | 1760006258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT132983) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT109416) |
106H00000X Marriage & Family Therapist (Licence: CA 132983) | |
Enumeration Date | 2020-06-01 |
Last Update Date | 2022-06-03 |