NPI | 1871036277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116673) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF95680) |
Enumeration Date | 2016-12-02 |
Last Update Date | 2019-12-17 |