NPI | 1902105844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF# 70258) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT130987) |
Enumeration Date | 2011-03-17 |
Last Update Date | 2025-03-19 |