NPI | 1336552553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT113207) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-05 |
Last Update Date | 2023-11-21 |