NPI | 1881959575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT134334) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110334) |
Enumeration Date | 2012-07-09 |
Last Update Date | 2022-09-16 |