NPI | 1740513555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA LMFT103993) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 103993) | |
Enumeration Date | 2009-09-10 |
Last Update Date | 2018-11-02 |