NPI | 1275186629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT147284) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT130638) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT130638) | |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-07-24 |
Last Update Date | 2024-07-05 |