NPI | 1629557525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125918) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT) |
Enumeration Date | 2018-08-10 |
Last Update Date | 2022-05-17 |