NPI | 1023176583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110770) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105139) |
106H00000X Marriage & Family Therapist (Licence: BBS # IMF69741) | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-01-13 |