NPI | 1700445962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126449) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 110447) |
106H00000X Marriage & Family Therapist (Licence: CA 110447) | |
Enumeration Date | 2019-06-11 |
Last Update Date | 2021-07-11 |