NPI | 1639767114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT147067) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT121248) |
Enumeration Date | 2021-01-09 |
Last Update Date | 2024-07-22 |