NPI | 1780058313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT117216) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117216) |
106H00000X Marriage & Family Therapist (Licence: CA IMF88981) | |
Enumeration Date | 2015-11-19 |
Last Update Date | 2020-01-10 |