NPI | 1386409928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT143548) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC15426) |
Enumeration Date | 2024-02-13 |
Last Update Date | 2024-02-13 |