NPI | 1184395212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141671) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 114671) |
103TC0700X Psychologist, Clinical (Licence: CA LMFT141671) | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2021-09-28 |
Last Update Date | 2024-03-10 |