NPI | 1447820709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT124253) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC9200) |
Enumeration Date | 2021-06-29 |
Last Update Date | 2021-06-29 |