NPI | 1447720552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12737) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118946) |
Enumeration Date | 2018-12-01 |
Last Update Date | 2023-11-01 |