NPI | 1528729704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA MFT1426) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC8542) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2023-11-30 |