NPI | 1619532249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT87612) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA LMFT87612) |
101YM0800X Counselor, Mental Health (Licence: CA LMFT87612) | |
101YP2500X Counselor, Professional (Licence: CA LMFT87612) | |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-05-09 |