NPI | 1891442356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12255) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 12255) |
106H00000X Marriage & Family Therapist (Licence: CA 134770) | |
Enumeration Date | 2022-03-04 |
Last Update Date | 2023-06-07 |