NPI | 1558840215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115273) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101278) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2019-09-06 |