NPI | 1275880460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 97794) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 68137) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2018-11-29 |