NPI | 1710001375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 50511) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF51349) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2016-07-13 |