NPI | 1417321084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105823) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 6600) |
Enumeration Date | 2015-11-19 |
Last Update Date | 2019-09-16 |