NPI | 1356713366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT138291) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT118137) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2015-10-29 |
Last Update Date | 2023-03-28 |