NPI | 1053468488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46281) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 43934) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2025-01-02 |