NPI | 1215683677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140786) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 127290) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2023-08-07 |