NPI | 1700058591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95766) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95766) |
Enumeration Date | 2008-04-01 |
Last Update Date | 2020-08-28 |