NPI | 1033621750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126477) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF102117) |
Enumeration Date | 2017-11-03 |
Last Update Date | 2021-08-04 |