NPI | 1720325962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107833) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT107833) |
Enumeration Date | 2013-01-08 |
Last Update Date | 2024-03-14 |