NPI | 1073968160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT132028) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT105215) |
Enumeration Date | 2016-04-26 |
Last Update Date | 2022-06-29 |