NPI | 1326367129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT34601) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC34601) |
106H00000X Marriage & Family Therapist (Licence: CA MFC34601) | |
101YP2500X Counselor, Professional (Licence: CA LPCC885) | |
Enumeration Date | 2010-05-19 |
Last Update Date | 2016-05-23 |