NPI | 1780046482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121817) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT101496) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2020-10-12 |