NPI | 1215478144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122658) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95829) |
Enumeration Date | 2017-03-10 |
Last Update Date | 2023-06-20 |