NPI | 1356650402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT93116) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF71124) |
Enumeration Date | 2010-10-06 |
Last Update Date | 2016-06-19 |