NPI | 1639576986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT119089) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF80278) |
Enumeration Date | 2014-12-02 |
Last Update Date | 2021-06-01 |