NPI | 1265179063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT133362) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-05-13 |
Last Update Date | 2022-09-08 |