NPI | 1821364712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT94339) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 68631) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2017-03-15 |