NPI | 1982236329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129711) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT113075) |
101YM0800X Counselor, Mental Health (Licence: CA APCC6208) | |
101YM0800X Counselor, Mental Health (Licence: CA 129711) | |
Enumeration Date | 2020-02-04 |
Last Update Date | 2024-02-06 |