NPI | 1578773875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110975) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 80466) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2019-03-22 |