NPI | 1215214044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85602) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF68476) |
Enumeration Date | 2011-11-08 |
Last Update Date | 2015-06-01 |