NPI | 1992336978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144040) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 10033) |
106H00000X Marriage & Family Therapist (Licence: CA 127285) | |
Enumeration Date | 2020-01-29 |
Last Update Date | 2024-01-16 |