NPI | 1952951758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114756) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 114756) |
106H00000X Marriage & Family Therapist (Licence: CA LMFT114756) | |
Enumeration Date | 2019-09-13 |
Last Update Date | 2023-08-07 |