NPI | 1366938243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT136140) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2018-07-03 |
Last Update Date | 2023-01-05 |