NPI | 1710386628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149345) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT149345) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2025-05-16 |