NPI | 1750081261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140253) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6994) |
106H00000X Marriage & Family Therapist (Licence: CA 116356) | |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-08-25 |