NPI | 1205311909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 124316) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 84023) | |
Enumeration Date | 2018-09-27 |
Last Update Date | 2021-03-04 |