NPI | 1083078117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121401) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60539432) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2023-10-11 |