NPI | 1346036779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154219) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11249) |
Enumeration Date | 2025-04-15 |
Last Update Date | 2025-04-15 |