NPI | 1437557444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102211) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71755) |
101Y00000X Counselor | |
106H00000X Marriage & Family Therapist (Licence: CA 71755) | |
Enumeration Date | 2014-12-08 |
Last Update Date | 2022-12-28 |