NPI | 1982065587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT117132) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMFT92172) |
Enumeration Date | 2016-03-10 |
Last Update Date | 2022-12-29 |