NPI | 1104393024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT139279) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT107608) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2023-05-09 |