NPI | 1184970600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90981) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA IMF70342) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2024-02-08 |