NPI | 1376866681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT78379) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF56919) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2020-02-28 |