NPI | 1780068643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT100486) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF79449) |
106H00000X Marriage & Family Therapist (Licence: CA LMF) | |
Enumeration Date | 2015-07-10 |
Last Update Date | 2018-08-01 |