NPI | 1194749085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT38665) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC #927) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2024-11-14 |