NPI | 1538710322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 10633) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C9769) |
106H00000X Marriage & Family Therapist (Licence: CA 130358) | |
Enumeration Date | 2019-09-24 |
Last Update Date | 2025-04-23 |