NPI | 1376215939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126663) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2021-10-01 |
Last Update Date | 2022-08-11 |