NPI | 1821283813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118821) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT118821) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2022-10-05 |