NPI | 1851580385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT31335) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc31335) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2019-07-02 |