NPI | 1649685496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT114355) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF80265) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2023-03-09 |