NPI | 1245375393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46211) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 46211) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-09-18 |