NPI | 1669892006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT98544) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF78972) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2017-03-30 |