NPI | 1205292844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101167) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF87452) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2017-08-10 |