NPI | 1023495033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88175) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 66218) | |
106H00000X Marriage & Family Therapist (Licence: CA 66218) | |
Enumeration Date | 2015-04-28 |
Last Update Date | 2018-03-17 |