NPI | 1235599036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93766) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 92026) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2024-05-01 |