NPI | 1669764429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53596) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62460) |
106H00000X Marriage & Family Therapist (Licence: CA 53596) | |
Enumeration Date | 2011-05-11 |
Last Update Date | 2021-12-13 |