NPI | 1194069799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT106108) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 76656) |
106H00000X Marriage & Family Therapist (Licence: CA IMF76656) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC106108) | |
Enumeration Date | 2012-11-20 |
Last Update Date | 2024-05-14 |