NPI | 1396298667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72556) |
101YM0800X Counselor, Mental Health (Licence: CA 72666) | |
Enumeration Date | 2016-08-03 |
Last Update Date | 2019-01-25 |