NPI | 1871643114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT18214) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA Mu 18214) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2019-06-28 |