NPI | 1306866991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT80894) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 000794) |
106H00000X Marriage & Family Therapist (Licence: CA IMF 56087) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2017-07-21 |