NPI | 1083913636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA LMFT#679) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC-S#2686) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2015-03-17 |