NPI | 1700373776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT131850) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105080) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2022-11-17 |