NPI | 1518016617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 32944) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 32944) |
101YP2500X Counselor, Professional | |
101YP1600X Counselor, Pastoral | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2021-05-13 |