NPI | 1023531738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122098) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT98976) |
106H00000X Marriage & Family Therapist (Licence: CA 98976) | |
106H00000X Marriage & Family Therapist (Licence: CA IMF98976) | |
Enumeration Date | 2017-07-25 |
Last Update Date | 2021-02-10 |