NPI | 1205403623 |
---|---|
Other Name | NOX NGO |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT144803) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator | |
221700000X Art Therapist (Licence: CA 24-203) | |
Enumeration Date | 2021-06-04 |
Last Update Date | 2024-09-30 |