NPI | 1760914675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT137158) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 93448) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2023-03-03 |