NPI | 1952746430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102382) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA IMF83664) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2017-10-06 |