NPI | 1124203377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97325) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 56298) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2020-10-15 |