NPI | 1831523299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95741) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF82257) |
Enumeration Date | 2013-08-21 |
Last Update Date | 2019-04-23 |