NPI | 1134760317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117853) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 134372) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2023-04-17 |