NPI | 1265008338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT151385) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC20328) |
Enumeration Date | 2021-05-31 |
Last Update Date | 2025-09-04 |