NPI | 1932442845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115028) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF88708) |
Enumeration Date | 2013-03-28 |
Last Update Date | 2020-01-08 |