NPI | 1861846735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125999) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT116023) |
106H00000X Marriage & Family Therapist (Licence: CA 125999) | |
Enumeration Date | 2016-04-18 |
Last Update Date | 2022-01-24 |