NPI | 1851823645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116890) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF88147) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2020-02-03 |