NPI | 1437634599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT148533) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT108667) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2024-08-21 |