NPI | 1346626520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 126196) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA 126196) | |
1041C0700X Social Worker, Clinical | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-08-10 |
Last Update Date | 2023-05-30 |