NPI | 1205285533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT122290) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMFT81419) |
101YM0800X Counselor, Mental Health (Licence: CA AMFT81419) | |
101YM0800X Counselor, Mental Health (Licence: CA AMFT119733) | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2020-10-07 |