NPI | 1144751009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48651) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC1394) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-08-08 |