NPI | 1619432085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14656) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist | |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-02-09 |
Last Update Date | 2024-12-19 |