NPI | 1275858177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT82958) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF62732) |
Enumeration Date | 2010-04-02 |
Last Update Date | 2019-06-25 |