NPI | 1356003032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128152) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 128152) |
Enumeration Date | 2021-10-09 |
Last Update Date | 2023-05-31 |