NPI | 1780033019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT131854) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF76124) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2024-11-07 |