NPI | 1043560840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LMFT129581) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA AMFT104183) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2022-06-23 |