NPI | 1104354091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT157028) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT107779) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2025-09-10 |