NPI | 1447363437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA LMFT#84) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2328) |
106H00000X Marriage & Family Therapist (Licence: LA 84) | |
101Y00000X Counselor (Licence: LA LPC#2328) | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2012-09-05 |