NPI | 1346792942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15598) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 84367) |
Enumeration Date | 2016-10-30 |
Last Update Date | 2022-01-06 |