NPI | 1245805803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT133766) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC11950) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2024-05-09 |