NPI | 1184440414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141439) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 15390) |
Enumeration Date | 2024-12-02 |
Last Update Date | 2024-12-02 |