NPI | 1265988661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116661) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF94282) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2023-11-15 |