NPI | 1215325386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127309) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 127309) |
Enumeration Date | 2014-12-24 |
Last Update Date | 2024-05-09 |