NPI | 1114778453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT145018) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC16045) |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-04-04 |