NPI | 1700286713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT148112) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
106H00000X Marriage & Family Therapist (Licence: CA AMFT123751) | |
Enumeration Date | 2014-08-27 |
Last Update Date | 2024-12-17 |