NPI | 1487259560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT147007) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC8000) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT119528) | |
Enumeration Date | 2020-12-04 |
Last Update Date | 2024-08-02 |