NPI | 1548787559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119405) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF88383) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2021-04-29 |