NPI | 1194233494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120071) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103449) |
Enumeration Date | 2018-01-21 |
Last Update Date | 2020-07-15 |