NPI | 1568173805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135821) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 135821) |
101YM0800X Counselor, Mental Health (Licence: CA 12558) | |
Enumeration Date | 2022-12-07 |
Last Update Date | 2022-12-07 |