NPI | 1447638309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126702) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103896) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2022-01-20 |