NPI | 1992009252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT93640) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91577) |
Enumeration Date | 2010-12-30 |
Last Update Date | 2020-05-11 |