NPI | 1568808186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114370) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111733) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2022-08-26 |