NPI | 1336747153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131446) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11217) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2022-05-03 |