NPI | 1053074948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113082) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113082) |
Enumeration Date | 2021-10-18 |
Last Update Date | 2022-11-16 |