NPI | 1598242620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT148449) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT120322) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT120322) | |
Enumeration Date | 2018-07-21 |
Last Update Date | 2024-08-06 |