NPI | 1801344254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT104885) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF88748) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2022-01-01 |