NPI | 1821333188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT106762) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT 1776) |
106H00000X Marriage & Family Therapist (Licence: CA 106762) | |
Enumeration Date | 2012-11-27 |
Last Update Date | 2021-01-19 |