NPI | 1811008931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC42095) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC608) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2021-10-12 |