NPI | 1538608179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 95030) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI 3250) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2021-06-02 |