NPI | 1184095424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT106177) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF63698) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2021-11-30 |