NPI | 1750037123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117601) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC7363) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2022-02-24 |