NPI | 1255007464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT147964) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127889) |
Enumeration Date | 2021-08-18 |
Last Update Date | 2024-07-15 |