NPI | 1245761600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120832) |
Additional Taxonomies | 101Y00000X Counselor |
247200000X Technician, Other | |
Enumeration Date | 2017-03-27 |
Last Update Date | 2020-08-11 |