NPI | 1972781664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT42952) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42952) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2019-07-17 |