NPI | 1306297155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT133220) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104058) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2023-04-14 |