NPI | 1972185437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC12690) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: APCC12690) |
106H00000X Marriage & Family Therapist (Licence: AMFT136130) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT136130) | |
Enumeration Date | 2021-04-24 |
Last Update Date | 2022-12-05 |