NPI | 1750942553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120355) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 120355) |
101YM0800X Counselor, Mental Health (Licence: CA 120355) | |
Enumeration Date | 2019-06-24 |
Last Update Date | 2022-10-28 |