NPI | 1205969011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT42604) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42604) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2022-06-27 |