NPI | 1760713341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84736) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68610) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2019-03-20 |