NPI | 1871284711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138075) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13476) |
Enumeration Date | 2023-05-19 |
Last Update Date | 2024-05-12 |