NPI | 1013490184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT151059) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG61041174) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2025-04-02 |