NPI | 1093027781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53567) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 57932) |
103TS0200X Psychologist, School | |
Enumeration Date | 2010-07-09 |
Last Update Date | 2023-02-22 |