NPI | 1942708870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131605) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102519) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2022-03-25 |