NPI | 1245834605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17144) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist | |
172V00000X Community Health Worker | |
Enumeration Date | 2020-11-25 |
Last Update Date | 2024-08-17 |