NPI | 1245441856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT94790) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 61994) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2018-06-22 |