NPI | 1942633888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95960) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF78303) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2021-02-09 |