NPI | 1174122378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143355) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15419) |
Enumeration Date | 2020-10-20 |
Last Update Date | 2024-05-22 |