NPI | 1164264610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 146776) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16521) |
106H00000X Marriage & Family Therapist (Licence: CA 146776) | |
Enumeration Date | 2024-06-06 |
Last Update Date | 2024-06-06 |