NPI | 1104103209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110112) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2011-11-03 |
Last Update Date | 2020-05-18 |