NPI | 1134440019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT114553) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2010-06-15 |
Last Update Date | 2020-10-26 |