NPI | 1447696901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT83601) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 64036) |
Enumeration Date | 2013-05-10 |
Last Update Date | 2014-11-19 |