NPI | 1306205315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT113747) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMFT94910) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2021-11-17 |