NPI | 1437664620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121214) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT101141) |
101YM0800X Counselor, Mental Health (Licence: CA IMF101141) | |
Enumeration Date | 2017-12-10 |
Last Update Date | 2023-09-29 |