NPI | 1396224945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124269) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC5246) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT107547) | |
Enumeration Date | 2018-08-13 |
Last Update Date | 2023-09-25 |