NPI | 1750705992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116683) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF62379) |
106H00000X Marriage & Family Therapist (Licence: CA IMF97699) | |
Enumeration Date | 2014-02-07 |
Last Update Date | 2024-01-29 |