NPI | 1922534007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125044) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 98824) | |
106H00000X Marriage & Family Therapist (Licence: CA 98824) | |
Enumeration Date | 2017-05-10 |
Last Update Date | 2023-01-06 |