NPI | 1548980568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135268) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12372) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2023-04-12 |