NPI | 1952036063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT142559) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC14936) |
Enumeration Date | 2022-07-21 |
Last Update Date | 2024-01-10 |