NPI | 1457727414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114059) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT114059) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2021-04-19 |