NPI | 1184497570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153889) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 140684) |
Enumeration Date | 2023-11-07 |
Last Update Date | 2025-05-13 |