NPI | 1932348554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT40566) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA MFC40566) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2020-07-27 |