NPI | 1629369632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT105415) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF70109) |
106H00000X Marriage & Family Therapist (Licence: CA 105415) | |
Enumeration Date | 2011-04-25 |
Last Update Date | 2024-05-08 |