NPI | 1144573585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112430) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90510) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2021-10-01 |