NPI | 1083116479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT122563) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT104828) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2020-10-19 |