NPI | 1285089920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115877) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF72644) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2020-03-03 |