NPI | 1134535982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115314) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT79168) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2020-07-31 |