NPI | 1174975155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96211) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI 1753) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2018-09-26 |