NPI | 1255063525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT149142) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: APCC17604) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2024-10-04 |