NPI | 1497284418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116465) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF97384) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2019-12-02 |