NPI | 1144347386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFTI79501) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: CA MFTI79501) | |
106H00000X Marriage & Family Therapist (Licence: CA IMF56395) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2022-07-21 |