NPI | 1821341199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT80341) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-10-23 |
Last Update Date | 2020-01-29 |