NPI | 1225716756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139651) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13878) |
Enumeration Date | 2023-07-06 |
Last Update Date | 2024-03-21 |