NPI | 1053757468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99273) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 74558) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2022-08-01 |