NPI | 1285273490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137157) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 137157) |
Enumeration Date | 2020-01-06 |
Last Update Date | 2023-11-19 |