NPI | 1518314905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT108943) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI2668) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2021-02-01 |