NPI | 1659756526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86811) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 86811) |
106H00000X Marriage & Family Therapist (Licence: CA 86811) | |
Enumeration Date | 2015-07-21 |
Last Update Date | 2020-08-05 |