NPI | 1619434156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114565) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT95588) |
101YM0800X Counselor, Mental Health (Licence: CA LMFT114565) | |
Enumeration Date | 2019-02-20 |
Last Update Date | 2024-06-04 |