NPI | 1437372455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT45219) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 42039) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2018-07-06 |