NPI | 1326539594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104838) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 104838) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 104838) | |
101YM0800X Counselor, Mental Health (Licence: CA 104838) | |
101YP2500X Counselor, Professional (Licence: CA 104838) | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2018-05-23 |