NPI | 1043827520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129805) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
106S00000X Behavior Technician | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-09-28 |
Last Update Date | 2023-11-09 |