NPI | 1427403799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114825) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF95380) |
106H00000X Marriage & Family Therapist (Licence: CA IMF95380) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2024-10-27 |