NPI | 1720328719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT100475) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79559) |
Enumeration Date | 2013-02-27 |
Last Update Date | 2021-09-08 |