NPI | 1760853022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT130940) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT103108) | |
Enumeration Date | 2015-10-13 |
Last Update Date | 2023-09-18 |