NPI | 1144344235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT 33972) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA lpc120) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-09-27 |