NPI | 1225270200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT111214) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2009-04-06 |
Last Update Date | 2022-08-17 |