NPI | 1871949560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124968) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102305) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2024-10-16 |