NPI | 1376099192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 4697) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2016-08-31 |
Last Update Date | 2022-11-30 |