NPI | 1679056345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT135385) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA amft126071) |
103T00000X Psychologist | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-09-10 |
Last Update Date | 2022-11-04 |