NPI | 1346730512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121400) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT105252) |
Enumeration Date | 2018-05-14 |
Last Update Date | 2020-09-10 |