NPI | 1225662505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT129718) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116915) |
Enumeration Date | 2020-02-26 |
Last Update Date | 2022-06-14 |