NPI | 1417381732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL LMFT 1808) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL LMHC 5109) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2024-08-15 |