NPI | 1942806740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT53738) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 060183364) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2020-12-07 |