NPI | 1194113035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109292) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6591) |
101YP2500X Counselor, Professional (Licence: CO 18451) | |
106H00000X Marriage & Family Therapist (Licence: CO 2194) | |
Enumeration Date | 2014-12-30 |
Last Update Date | 2024-10-15 |