NPI | 1376121277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT150788) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC11868) |
101YM0800X Counselor, Mental Health (Licence: CA AMFT133651) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT133651) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-31 |
Last Update Date | 2024-11-01 |