NPI | 1790515757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146012) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 16242) |
Enumeration Date | 2024-08-05 |
Last Update Date | 2024-08-07 |