NPI | 1306127469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84272) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 67317) |
Enumeration Date | 2011-09-02 |
Last Update Date | 2015-02-23 |