NPI | 1366881856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42692) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC 323) |
106H00000X Marriage & Family Therapist (Licence: CA 42692) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2024-01-30 |