NPI | 1861514382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT49295) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC288) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2024-01-10 |