NPI | 1518512490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT135775) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT119663) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2022-12-23 |