NPI | 1942626973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97676) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF77589) |
Enumeration Date | 2014-03-14 |
Last Update Date | 2019-09-04 |