NPI | 1144361437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT150312) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT110639) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT110639) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2024-11-05 |