NPI | 1356905335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT141839) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT110838) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT110838) | |
Enumeration Date | 2019-04-25 |
Last Update Date | 2023-11-13 |