NPI | 1801204722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111907) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF80740) |
106H00000X Marriage & Family Therapist (Licence: CA IMF80740) | |
Enumeration Date | 2014-07-23 |
Last Update Date | 2019-03-09 |