NPI | 1962175224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT140777) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126699) |
Enumeration Date | 2021-07-31 |
Last Update Date | 2023-11-01 |