NPI | 1457691008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118401) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF74022) |
101YM0800X Counselor, Mental Health (Licence: CA AMFT110973) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT110973) | |
106H00000X Marriage & Family Therapist (Licence: CA IMF74022) | |
Enumeration Date | 2013-02-19 |
Last Update Date | 2020-12-16 |