NPI | 1962827121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99562) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16129) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2020-11-04 |