NPI | 1518411065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT-104114) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT-I 79045) |
Enumeration Date | 2016-08-12 |
Last Update Date | 2021-02-12 |