NPI | 1770857633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86621) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86621) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2022-01-20 |