NPI | 1023428752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113176) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 113176) |
Enumeration Date | 2014-05-02 |
Last Update Date | 2021-09-21 |