NPI | 1790261758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT130240) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107726) |
Enumeration Date | 2018-07-12 |
Last Update Date | 2022-05-03 |