NPI | 1861062556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 124757) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124757) |
101Y00000X Counselor | |
Enumeration Date | 2021-06-25 |
Last Update Date | 2021-06-25 |