NPI | 1962842385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114844) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 61670) |
Enumeration Date | 2013-06-29 |
Last Update Date | 2021-05-27 |