NPI | 1841619160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT104900) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2014-04-15 |
Last Update Date | 2018-04-04 |