NPI | 1366724601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98962) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 98962) |
101YM0800X Counselor, Mental Health (Licence: CA 70893) | |
Enumeration Date | 2011-09-13 |
Last Update Date | 2024-04-09 |