NPI | 1063633626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52468) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT52468) |
106H00000X Marriage & Family Therapist (Licence: CA LMFT52468) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2022-05-11 |