NPI | 1184177495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125229) |
Additional Taxonomies | 101Y00000X Counselor (Licence: 390200000) |
106H00000X Marriage & Family Therapist (Licence: CA 101406) | |
Enumeration Date | 2016-08-03 |
Last Update Date | 2023-09-19 |