NPI | 1457974479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113789) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6478) |
Enumeration Date | 2020-05-26 |
Last Update Date | 2020-05-26 |