NPI | 1902565393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT154451) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA APCC10681) |
Enumeration Date | 2021-12-13 |
Last Update Date | 2025-07-01 |