NPI | 1124455522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101601) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-09-30 |
Last Update Date | 2019-03-05 |