NPI | 1073256723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134555) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 134555) |
106H00000X Marriage & Family Therapist | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2022-04-19 |
Last Update Date | 2023-12-21 |