NPI | 1164864807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34282) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: CA 99183) | |
106H00000X Marriage & Family Therapist (Licence: CA MFTI #75982) | |
Enumeration Date | 2013-07-23 |
Last Update Date | 2023-09-22 |