NPI | 1154809945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130487) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 13957) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2024-08-08 |