NPI | 1285090167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126129) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126129) |
Enumeration Date | 2016-01-08 |
Last Update Date | 2022-03-03 |