NPI | 1003489899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT134615) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT134615) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-05-30 |