NPI | 1114274396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT103034) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2012-08-07 |
Last Update Date | 2020-01-29 |