NPI | 1477036135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141227) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14831) |
247200000X Technician, Other | |
Enumeration Date | 2018-09-10 |
Last Update Date | 2023-11-03 |