NPI | 1497200430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115752) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94360) |
106H00000X Marriage & Family Therapist (Licence: CA 94360) | |
Enumeration Date | 2016-08-19 |
Last Update Date | 2019-10-08 |