NPI | 1265102271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT128588) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT128588) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2021-09-20 |
Last Update Date | 2023-07-05 |