NPI | 1053542811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105569) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 56781) |
Enumeration Date | 2009-07-28 |
Last Update Date | 2021-03-01 |