NPI | 1902333719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125581) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119048) |
106H00000X Marriage & Family Therapist (Licence: CA IMF80211) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-10-27 |