NPI | 1760661748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 79778) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 74212) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2021-03-23 |