NPI | 1417560624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 8107) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119873) |
Enumeration Date | 2020-08-26 |
Last Update Date | 2020-08-26 |