NPI | 1194146217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC18091) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 130910) |
Enumeration Date | 2013-12-16 |
Last Update Date | 2024-11-25 |