NPI | 1396876652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT42964) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42964) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2021-09-22 |