NPI | 1881056158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115140) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF72714) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2020-01-16 |