NPI | 1790822294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT42255) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42255) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-03-18 |