NPI | 1992557045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT145714) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: APCC16147) |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-04-03 |