NPI | 1114320173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114987) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 76504) |
Enumeration Date | 2014-10-06 |
Last Update Date | 2019-08-26 |