NPI | 1316097173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT45662) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT45662) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2024-06-06 |