NPI | 1063951424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF92592) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2022-07-21 |