NPI | 1841632130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT53750) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-16018) |
Enumeration Date | 2013-07-27 |
Last Update Date | 2024-01-24 |