NPI | 1932651502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119250) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF96255) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2022-12-07 |