NPI | 1316120694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 49687) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-12-10 |
Last Update Date | 2022-09-24 |