NPI | 1023417912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125027) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89091) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2022-11-03 |