NPI | 1497107643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96181) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF76975) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2022-08-05 |