NPI | 1821313552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115754) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF62749) |
106H00000X Marriage & Family Therapist (Licence: CA IMF92248) | |
Enumeration Date | 2010-04-06 |
Last Update Date | 2019-10-18 |