NPI | 1972805729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107316) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 64885) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2024-07-30 |