NPI | 1659851731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106562) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT106562) |
Enumeration Date | 2018-08-17 |
Last Update Date | 2024-01-08 |