NPI | 1245738871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140529) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: CA AMFT127076) | |
Enumeration Date | 2018-01-29 |
Last Update Date | 2023-07-27 |