NPI | 1275051898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128946) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 128946) |
Enumeration Date | 2017-09-04 |
Last Update Date | 2022-08-29 |