NPI | 1649530411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF71777) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 71777) |
104100000X Social Worker | |
Enumeration Date | 2012-05-25 |
Last Update Date | 2022-01-03 |