NPI | 1821611492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127935) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 10312) |
101Y00000X Counselor | |
106H00000X Marriage & Family Therapist (Licence: CA 127935) | |
Enumeration Date | 2020-05-18 |
Last Update Date | 2022-02-15 |