NPI | 1578169504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT97755) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT97755) |
Enumeration Date | 2020-12-06 |
Last Update Date | 2020-12-06 |