NPI | 1295234193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126981) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT102321) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2021-08-06 |