NPI | 1184963456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 69379) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT89210) |
Enumeration Date | 2013-02-06 |
Last Update Date | 2021-12-29 |