NPI | 1902060015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT50507) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 48266) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2021-04-13 |