NPI | 1891046181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT104996) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: CA 76978) | |
106H00000X Marriage & Family Therapist (Licence: CA 104996) | |
Enumeration Date | 2012-09-26 |
Last Update Date | 2021-02-22 |