NPI | 1144479536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94433) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF73072) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2023-10-11 |