NPI | 1124412754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 52011) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52011) |
Enumeration Date | 2015-03-20 |
Last Update Date | 2023-10-27 |