NPI | 1477229607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT125084) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT125084) |
106H00000X Marriage & Family Therapist (Licence: CA 125084) | |
Enumeration Date | 2021-08-18 |
Last Update Date | 2024-02-20 |