NPI | 1306563887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150096) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 125583) |
Enumeration Date | 2022-10-25 |
Last Update Date | 2024-11-25 |