NPI | 1801398854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT138318) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF101859) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2023-05-06 |