NPI | 1902580590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14231) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
106H00000X Marriage & Family Therapist (Licence: CA 140466) | |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-07-27 |