NPI | 1790232320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111909) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94973) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2023-12-29 |