NPI | 1518248905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86812) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF65263) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2011-08-30 |
Last Update Date | 2024-05-08 |