NPI | 1184124026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126084) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101580) |
101YP2500X Counselor, Professional (Licence: CA 4285) | |
Enumeration Date | 2018-02-16 |
Last Update Date | 2023-06-06 |