NPI | 1588331540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT135971) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT135971) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2021-08-26 |
Last Update Date | 2023-07-16 |