NPI | 1083138986 |
---|---|
Professional Name | N/A N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113271) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71576) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2021-06-25 |