NPI | 1629401740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107252) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: CA LPCC6635) | |
Enumeration Date | 2013-08-13 |
Last Update Date | 2020-07-09 |