NPI | 1194380238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125073) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT111609) |
Enumeration Date | 2019-05-03 |
Last Update Date | 2024-01-14 |