NPI | 1336723220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125214) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
101Y00000X Counselor | |
Enumeration Date | 2021-05-07 |
Last Update Date | 2024-10-31 |