NPI | 1255534400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53524) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF71173) |
101YM0800X Counselor, Mental Health (Licence: CA 50922) | |
101YM0800X Counselor, Mental Health (Licence: CA 71173) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC53524) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2024-07-10 |