NPI | 1881279925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124747) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 124747) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2021-06-02 |