NPI | 1235256710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116389) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT110125) |
106H00000X Marriage & Family Therapist (Licence: CA 73538) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT110125) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2022-06-30 |