NPI | 1801184452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT110539) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 110539) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2011-07-18 |
Last Update Date | 2021-11-16 |