NPI | 1215592514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT139698) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114215) |
Enumeration Date | 2019-05-02 |
Last Update Date | 2024-10-15 |