NPI | 1093847337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT50297) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT50297) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2021-11-01 |