NPI | 1790061299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 94701) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75265) |
Enumeration Date | 2011-10-27 |
Last Update Date | 2016-08-17 |