NPI | 1871914416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT120282) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF88120) |
Enumeration Date | 2013-12-28 |
Last Update Date | 2024-02-08 |