NPI | 1679065072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127104) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6766) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2024-10-22 |