NPI | 1710341037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111464) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91771) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2021-04-27 |