NPI | 1164803441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95987) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80459) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2022-06-10 |