NPI | 1245605708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT130973) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF99469) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2024-10-03 |