NPI | 1902190374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT89898) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64972) |
Enumeration Date | 2011-06-02 |
Last Update Date | 2019-12-16 |