NPI | 1033722558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 137168) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT120369) |
101YP2500X Counselor, Professional (Licence: 8177) | |
Enumeration Date | 2020-08-25 |
Last Update Date | 2023-01-24 |