NPI | 1699328948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115429) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 11601) |
Enumeration Date | 2019-07-16 |
Last Update Date | 2023-12-12 |