NPI | 1619316080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115841) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 9552) |
106H00000X Marriage & Family Therapist (Licence: OR T1861) | |
Enumeration Date | 2013-06-19 |
Last Update Date | 2024-06-03 |