NPI | 1245733914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112437) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9538) |
101YP2500X Counselor, Professional (Licence: TX 87500) | |
106H00000X Marriage & Family Therapist (Licence: TX 204315) | |
Enumeration Date | 2018-03-08 |
Last Update Date | 2023-02-13 |