NPI | 1326383266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT92635) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA IMF73911) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2012-12-04 |
Last Update Date | 2022-03-09 |