NPI | 1578104790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT158536) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126072) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2025-10-07 |