NPI | 1831481944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT.47582) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0005742) |
101YP2500X Counselor, Professional (Licence: MN LPCC.2624) | |
Enumeration Date | 2011-05-07 |
Last Update Date | 2023-10-06 |