NPI | 1386052686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115706) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-07-30 |
Last Update Date | 2024-07-09 |