NPI | 1952786550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107242) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107242) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2015-07-24 |
Last Update Date | 2022-02-13 |