NPI | 1649763285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116332) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104492) |
Enumeration Date | 2018-06-08 |
Last Update Date | 2022-08-16 |