NPI | 1194147884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT129360) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF67477) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2022-03-17 |