NPI | 1225107881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC41682) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC41682) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2021-04-27 |