NPI | 1336613645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 46779) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 80) |
101YP2500X Counselor, Professional (Licence: 80) | |
106H00000X Marriage & Family Therapist (Licence: 46779) | |
106H00000X Marriage & Family Therapist (Licence: CA 46779) | |
Enumeration Date | 2019-01-20 |
Last Update Date | 2019-01-20 |