NPI | 1093368730 |
---|---|
Former Name | ELISE RELF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117311) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT91847) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2022-07-12 |