NPI | 1215236880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT103198) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF70053) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2017-11-20 |