NPI | 1053639575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT151502) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF73193) |
101Y00000X Counselor | |
106H00000X Marriage & Family Therapist (Licence: CA IMF109854) | |
Enumeration Date | 2010-05-07 |
Last Update Date | 2024-11-21 |