NPI | 1043798317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT136831) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-07-30 |
Last Update Date | 2023-12-27 |