NPI | 1407428436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT127899) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC5406) |
101YM0800X Counselor, Mental Health (Licence: CA AMFT108303) | |
101YM0800X Counselor, Mental Health (Licence: CA LPCC9455) | |
Enumeration Date | 2021-07-09 |
Last Update Date | 2024-05-07 |