NPI | 1427489194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105725) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF72452) |
Enumeration Date | 2013-12-06 |
Last Update Date | 2021-03-16 |