NPI | 1073924007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151008) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106S00000X Behavior Technician | |
172V00000X Community Health Worker | |
101Y00000X Counselor | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2024-10-31 |