NPI | 1235683111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123463) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 93928) |
106H00000X Marriage & Family Therapist (Licence: CA 93928) | |
Enumeration Date | 2016-08-09 |
Last Update Date | 2023-10-11 |