NPI | 1477905222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT132433) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF93327) |
106H00000X Marriage & Family Therapist (Licence: CA IMF93327) | |
Enumeration Date | 2016-07-05 |
Last Update Date | 2022-10-10 |