NPI | 1639652647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT123632) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT94617) |
Enumeration Date | 2018-09-14 |
Last Update Date | 2021-01-11 |