NPI | 1366576324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 56280) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101156) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-19 |