NPI | 1508183856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT89987) |
Enumeration Date | 2010-04-27 |
Last Update Date | 2023-04-21 |