NPI | 1750724738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99857) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF80544) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2022-01-12 |