NPI | 1225428725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99309) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 85195) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2015-02-04 |
Last Update Date | 2020-05-04 |