NPI | 1043505829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96976) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF71703) |
Enumeration Date | 2011-06-09 |
Last Update Date | 2023-10-09 |