NPI | 1922478429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121918) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 121918) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2022-09-07 |