NPI | 1497103899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 128459) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA imf88599) | |
106H00000X Marriage & Family Therapist (Licence: CA 128459) | |
Enumeration Date | 2016-05-26 |
Last Update Date | 2021-10-25 |