NPI | 1083918064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT83242) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 60769) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2021-07-20 |