NPI | 1720620347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT156591) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC20014) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2025-09-22 |