NPI | 1083066708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113583) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI2792) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2020-11-06 |