NPI | 1043507635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128509) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF66273) |
103TC2200X Psychologist, Clinical Child & Adolescent | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2011-07-01 |
Last Update Date | 2023-10-12 |