NPI | 1609318963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT136305) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT112260) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2022-12-28 |