NPI | 1255533832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT109833) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 150902) |
101Y00000X Counselor | |
Enumeration Date | 2007-06-05 |
Last Update Date | 2025-02-28 |