NPI | 1952701856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110441) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6782) |
106H00000X Marriage & Family Therapist (Licence: CA 110441) | |
Enumeration Date | 2014-08-27 |
Last Update Date | 2019-08-02 |