NPI | 1073985636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114928) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YP2500X Counselor, Professional (Licence: CA LPCC7746) | |
Enumeration Date | 2015-10-22 |
Last Update Date | 2025-01-02 |