NPI | 1508380460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121155) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4133) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2021-04-16 |