NPI | 1841422904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 110899) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 60751) | |
106H00000X Marriage & Family Therapist (Licence: CA 88127) | |
Enumeration Date | 2009-08-21 |
Last Update Date | 2020-02-26 |