NPI | 1063841526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97787) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 60999) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2021-11-18 |