NPI | 1104329002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150696) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 129416) |
Enumeration Date | 2018-03-16 |
Last Update Date | 2024-11-08 |