NPI | 1639610025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT122364) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI3686) |
Enumeration Date | 2017-03-17 |
Last Update Date | 2022-07-21 |