NPI | 1124534698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115348) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95775) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2017-12-20 |
Last Update Date | 2023-01-31 |