NPI | 1336363332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT51757) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF43117) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2021-04-28 |