NPI | 1780014084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97607) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF77561) |
Enumeration Date | 2013-11-22 |
Last Update Date | 2022-05-04 |