NPI | 1982203808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113611) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 113611) |
101YM0800X Counselor, Mental Health (Licence: CA 113611) | |
Enumeration Date | 2020-10-21 |
Last Update Date | 2020-10-21 |