NPI | 1457800096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT128732) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100137) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2023-10-27 |