NPI | 1366716805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT78525) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2012-03-01 |
Last Update Date | 2019-03-04 |