NPI | 1174082705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125493) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT111296) |
Enumeration Date | 2019-03-13 |
Last Update Date | 2024-01-19 |