NPI | 1295945509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 86669) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74309) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-09-02 |