NPI | 1184296964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110576) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110576) |
103T00000X Psychologist | |
103TC1900X Psychologist, Counseling | |
103TS0200X Psychologist, School | |
251B00000X Case Management | |
Enumeration Date | 2021-07-12 |
Last Update Date | 2024-04-05 |