NPI | 1245746023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT115044) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC6753) |
Enumeration Date | 2017-12-15 |
Last Update Date | 2019-12-04 |