NPI | 1437704178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT38414) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC38414) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2024-04-30 |