NPI | 1487932083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101381) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 71473) |
Enumeration Date | 2011-07-30 |
Last Update Date | 2020-02-21 |