NPI | 1043640022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 118531) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118531) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2024-03-29 |