NPI | 1891220372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC120768) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 99259) |
106H00000X Marriage & Family Therapist (Licence: CA IMF992259) | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2020-08-19 |