NPI | 1366534646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-10265) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 28491) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-12-12 |