NPI | 1518093152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT52658) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF52839) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2021-03-16 |