NPI | 1114436060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111662) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 111662) |
Enumeration Date | 2017-09-22 |
Last Update Date | 2022-07-21 |