NPI | 1215458088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SD LMFT20251) |
Additional Taxonomies | 101Y00000X Counselor |
102L00000X Psychoanalyst | |
Enumeration Date | 2017-07-03 |
Last Update Date | 2025-06-10 |