NPI | 1134545478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102336) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 102336) |
101YM0800X Counselor, Mental Health (Licence: CA 102336) | |
Enumeration Date | 2014-03-11 |
Last Update Date | 2017-10-13 |