NPI | 1518308568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT10358) |
Enumeration Date | 2013-07-07 |
Last Update Date | 2018-06-16 |