NPI | 1922760438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT122508) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8618) |
101YM0800X Counselor, Mental Health (Licence: CA 122508) | |
Enumeration Date | 2021-10-12 |
Last Update Date | 2021-12-02 |