NPI | 1396403473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT128708) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC10575) |
Enumeration Date | 2021-12-06 |
Last Update Date | 2024-04-16 |