NPI | 1124128335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 49892) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF46851) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2021-04-21 |