NPI | 1871192955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT124138) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114015) |
Enumeration Date | 2020-10-20 |
Last Update Date | 2021-08-26 |