NPI | 1609431048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114982) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC8731) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2024-04-10 |