NPI | 1568630242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT48864) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF55869) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2010-12-22 |