NPI | 1710339650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107813) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89556) |
Enumeration Date | 2016-07-04 |
Last Update Date | 2021-11-19 |