NPI | 1235254830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMFT96067) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64527) |
106H00000X Marriage & Family Therapist (Licence: CA IMFT64527) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2016-10-26 |