NPI | 1295480721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120530) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 8195) |
106H00000X Marriage & Family Therapist (Licence: TX 205544) | |
Enumeration Date | 2022-02-14 |
Last Update Date | 2024-06-25 |