NPI | 1194081323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97318) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2012-04-02 |
Last Update Date | 2023-09-26 |