NPI | 1801175716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT-128274) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: CA LMFT128274) | |
106H00000X Marriage & Family Therapist (Licence: CA IMF81705) | |
Enumeration Date | 2011-08-09 |
Last Update Date | 2021-11-08 |