NPI | 1073804076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85413) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65133) |
Enumeration Date | 2011-04-25 |
Last Update Date | 2022-05-12 |