NPI | 1669808713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125828) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT89147) |
Enumeration Date | 2013-09-20 |
Last Update Date | 2021-08-12 |