NPI | 1417728189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134287) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 12048) |
Enumeration Date | 2024-01-11 |
Last Update Date | 2024-01-11 |