NPI | 1215353842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 95953) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC 3517) |
Enumeration Date | 2014-03-06 |
Last Update Date | 2021-11-22 |