NPI | 1235409038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 71300) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTi71300) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2014-06-02 |