NPI | 1154092559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126136) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 126136) |
Enumeration Date | 2021-09-24 |
Last Update Date | 2022-05-20 |