NPI | 1811128879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84496) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-08-06 |
Last Update Date | 2018-08-06 |