NPI | 1770964207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT113398) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT94413) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2022-03-09 |