NPI | 1407244031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120038) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2015-01-06 |
Last Update Date | 2020-07-17 |