NPI | 1104686674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141936) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14337) |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-03-20 |