NPI | 1639850464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135484) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 12374) |
Enumeration Date | 2023-07-25 |
Last Update Date | 2023-07-25 |