NPI | 1467827881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT103569) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA #1778) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2018-01-09 |