NPI | 1023480787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95837) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95837) |
101Y00000X Counselor | |
Enumeration Date | 2015-10-21 |
Last Update Date | 2024-09-04 |