NPI | 1316226525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT47833) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC47833) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2025-08-18 |