NPI | 1548620842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114599) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT114599) |
101YM0800X Counselor, Mental Health (Licence: CA 89607) | |
Enumeration Date | 2016-02-29 |
Last Update Date | 2023-06-09 |