NPI | 1376995308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53807) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC53807) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2023-12-08 |