NPI | 1194254169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121596) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 99890) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2020-09-22 |