NPI | 1801103718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99195) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YP2500X Counselor Professional (Licence: CA IMF 77059) | |
104100000X Social Worker | |
106H00000X Marriage & Family Therapist (Licence: CA IMF77059) | |
Enumeration Date | 2010-09-13 |
Last Update Date | 2023-10-13 |