NPI | 1457839995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 132825) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT105793) |
101YP2500X Counselor, Professional (Licence: CA APCC4990) | |
Enumeration Date | 2018-08-06 |
Last Update Date | 2024-04-30 |