NPI | 1275175507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145513) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6511) |
Enumeration Date | 2019-10-08 |
Last Update Date | 2024-05-23 |