NPI | 1700394848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 103739) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: CA 103739) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 103739) | |
Enumeration Date | 2018-01-10 |
Last Update Date | 2020-03-04 |