NPI | 1811250277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107877) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT-I69323) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2021-03-31 |