NPI | 1770788945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT157751) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT115128) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2025-09-09 |