NPI | 1275051476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT124030) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI4277) |
106H00000X Marriage & Family Therapist (Licence: CA IMFT101501) | |
106H00000X Marriage & Family Therapist (Licence: CA 124030) | |
Enumeration Date | 2017-09-07 |
Last Update Date | 2023-02-22 |