NPI | 1154597235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-7277) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5222) |
106H00000X Marriage & Family Therapist (Licence: CO 869) | |
Enumeration Date | 2008-05-07 |
Last Update Date | 2022-01-03 |