NPI | 1336668136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124202) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4892) |
106H00000X Marriage & Family Therapist (Licence: CA 105694) | |
Enumeration Date | 2017-09-12 |
Last Update Date | 2021-03-23 |