NPI | 1922513191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 61150254) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT39247) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2023-02-15 |