NPI | 1275878217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT87406) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF68152) |
106H00000X Marriage & Family Therapist (Licence: CA 87406) | |
Enumeration Date | 2012-12-03 |
Last Update Date | 2020-05-28 |