Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101Y00000X | Counselor | | IMF 65210 | CALIFORNIA | No |
| 2 | 101YM0800X | Counselor | Mental Health | IMF 65210 | CALIFORNIA | No |
| 3 | 106H00000X | Marriage & Family Therapist | | LMFT 84728 | CALIFORNIA | Yes |