NPI | 1336694769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 35900) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 413109) |
Enumeration Date | 2016-08-15 |
Last Update Date | 2024-09-23 |