NPI | 1407217623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT120841) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA AMFT120841) |
101YM0800X Counselor, Mental Health (Licence: CA AMFT120841) | |
Enumeration Date | 2016-03-15 |
Last Update Date | 2023-12-19 |