NPI | 1255858460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132305) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114942) |
Enumeration Date | 2017-08-28 |
Last Update Date | 2022-04-18 |