NPI | 1992862874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT35426) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC35426) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2022-12-08 |