NPI | 1023424108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 96850) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 79361) |
106H00000X Marriage & Family Therapist (Licence: CA IMF 79361) | |
Enumeration Date | 2014-07-09 |
Last Update Date | 2017-01-03 |