NPI | 1043839178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT130463) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT118423) |
106H00000X Marriage & Family Therapist (Licence: CA 130463) | |
Enumeration Date | 2020-04-09 |
Last Update Date | 2023-05-05 |