NPI | 1669794863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85034) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF62146) |
Enumeration Date | 2010-02-16 |
Last Update Date | 2019-08-01 |