NPI | 1295035905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT81067) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMFT 61713) |
Enumeration Date | 2010-10-27 |
Last Update Date | 2014-07-14 |