NPI | 1275914061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109989) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1664) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2023-07-31 |