NPI | 1417657503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT144906) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC15827) |
Enumeration Date | 2023-03-07 |
Last Update Date | 2024-05-01 |