NPI | 1740747534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT108370) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 131096) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2022-11-14 |