NPI | 1104499516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137086) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 13086) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-07-22 |
Last Update Date | 2024-10-09 |