NPI | 1144598954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92762) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67940) |
Enumeration Date | 2011-12-07 |
Last Update Date | 2023-01-12 |