NPI | 1336665967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 5747) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-08-15 |
Last Update Date | 2019-04-09 |