NPI | 1376068486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT142008) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional (Licence: CA APCC14793) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-08-09 |
Last Update Date | 2024-04-03 |