NPI | 1952894370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT87279) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87279) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2022-01-21 |