NPI | 1639722820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127820) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT127280) |
104100000X Social Worker | |
Enumeration Date | 2019-07-17 |
Last Update Date | 2023-12-12 |