NPI | 1760924930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110563) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94300) |
Enumeration Date | 2016-11-04 |
Last Update Date | 2024-10-10 |