NPI | 1780082677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT134762) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF76974) |
Enumeration Date | 2014-12-09 |
Last Update Date | 2024-10-15 |