NPI | 1003202284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002267) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109012) |
106H00000X Marriage & Family Therapist (Licence: CA IMF93778) | |
Enumeration Date | 2015-04-14 |
Last Update Date | 2023-05-10 |