NPI | 1215458914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT137703) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98283) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2023-03-15 |