NPI | 1487199626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118797) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
171M00000X Case Manager/Care Coordinator | |
221700000X Art Therapist | |
Enumeration Date | 2016-12-26 |
Last Update Date | 2020-08-04 |