NPI | 1003431685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT138635) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105876) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT105876) | |
106S00000X Behavior Technician (Licence: CA 105876) | |
Enumeration Date | 2020-06-10 |
Last Update Date | 2023-07-14 |