NPI | 1942499702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT47856) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0003806-SUPV) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2021-05-07 |