NPI | 1316074487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101395) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF88785) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2022-03-09 |