NPI | 1093340101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT131445) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC11260) |
Enumeration Date | 2020-03-09 |
Last Update Date | 2023-03-02 |