NPI | 1356619886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT103859) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103859) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2019-10-08 |