NPI | 1851738371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MCAP0101016) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI1918) |
106H00000X Marriage & Family Therapist (Licence: CA IMF83107) | |
Enumeration Date | 2013-05-23 |
Last Update Date | 2022-11-30 |