NPI | 1184926909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT129482) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
171M00000X Case Manager/Care Coordinator (Licence: CA D1838496) | |
Enumeration Date | 2010-11-30 |
Last Update Date | 2022-02-12 |