NPI | 1225505100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128943) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 109741) | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2018-10-29 |
Last Update Date | 2021-11-03 |