NPI | 1104459452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117737) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC7503) |
Enumeration Date | 2020-02-14 |
Last Update Date | 2024-03-06 |