NPI | 1942671052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114990) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89172) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2023-03-27 |