NPI | 1346751294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133573) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 109204) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2017-10-18 |
Last Update Date | 2022-07-13 |