NPI | 1053760561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT130811) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
106H00000X Marriage & Family Therapist (Licence: CA IMF93854) | |
Enumeration Date | 2016-06-06 |
Last Update Date | 2022-02-08 |