NPI | 1487018545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115974) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-04-05 |
Last Update Date | 2022-01-25 |