NPI | 1013277359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT82965) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC954) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2016-01-05 |