NPI | 1285153213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT128828) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 101754) | |
Enumeration Date | 2017-09-11 |
Last Update Date | 2021-11-30 |