NPI | 1972135770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT140893) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC15135) |
Enumeration Date | 2020-02-10 |
Last Update Date | 2024-07-08 |