NPI | 1134997737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133549) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 13068) |
Enumeration Date | 2023-12-13 |
Last Update Date | 2023-12-13 |