NPI | 1104186626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT125570) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85981) |
Enumeration Date | 2012-05-17 |
Last Update Date | 2021-04-26 |