NPI | 1548700073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116061) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA intern#91443) |
Enumeration Date | 2017-03-02 |
Last Update Date | 2023-12-15 |