NPI | 1124250204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115647) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74064) |
101Y00000X Counselor | |
Enumeration Date | 2009-08-21 |
Last Update Date | 2023-11-27 |