NPI | 1609400357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126992) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT126992) |
Enumeration Date | 2020-03-02 |
Last Update Date | 2023-07-14 |