NPI | 1134782253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT127245) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111934) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2021-08-13 |