NPI | 1275912727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT128248) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF82141) |
101YM0800X Counselor Mental Health (Licence: CA IMF82141) | |
106H00000X Marriage & Family Therapist (Licence: CA IMF82141) | |
Enumeration Date | 2015-05-28 |
Last Update Date | 2021-12-22 |