NPI | 1518346618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111383) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFTI 82298) |
Enumeration Date | 2015-05-21 |
Last Update Date | 2019-10-08 |