NPI | 1528448750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115863) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 90354) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2020-08-11 |