NPI | 1285936989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT79579) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI65298) |
Enumeration Date | 2010-12-01 |
Last Update Date | 2019-05-09 |