NPI | 1457575474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT94322) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF47880) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2023-03-01 |