NPI | 1275268906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT140123) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC14150) |
Enumeration Date | 2022-07-18 |
Last Update Date | 2023-10-01 |