NPI | 1376096255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT104086) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104086) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2022-02-16 |