NPI | 1154543114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT50776) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF47392) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2021-03-30 |