NPI | 1013560028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144332) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 123819) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-07-18 |
Last Update Date | 2024-01-19 |