NPI | 1205073608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT116090) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA APCC6873) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2023-10-31 |