NPI | 1548501828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122554) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist (Licence: CA 74238) | |
Enumeration Date | 2013-03-11 |
Last Update Date | 2022-03-04 |