NPI | 1194222166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT104624) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104624) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2018-04-06 |
Last Update Date | 2024-06-12 |