NPI | 1528531803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135312) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT101987) |
Enumeration Date | 2019-01-09 |
Last Update Date | 2024-07-02 |