NPI | 1841640497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107404) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF92667) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2019-07-24 |