NPI | 1164857165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109809) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF83039) |
106H00000X Marriage & Family Therapist (Licence: CA 83039) | |
106H00000X Marriage & Family Therapist (Licence: CA IMF83039) | |
Enumeration Date | 2013-09-09 |
Last Update Date | 2018-10-19 |