NPI | 1104324466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134671) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2018-01-31 |
Last Update Date | 2022-09-28 |