NPI | 1689866634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125231) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 58792) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2007-08-14 |
Last Update Date | 2022-03-23 |