NPI | 1659765402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122384) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114182) |
106H00000X Marriage & Family Therapist (Licence: CA IMF75427) | |
Enumeration Date | 2015-03-18 |
Last Update Date | 2020-10-09 |