NPI | 1013384742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119401) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
106H00000X Marriage & Family Therapist | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT101360) | |
Enumeration Date | 2015-08-28 |
Last Update Date | 2021-03-16 |