NPI | 1083464697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144912) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 16150) |
Enumeration Date | 2024-03-26 |
Last Update Date | 2024-03-26 |