NPI | 1386404309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT124744) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC9652) |
101YM0800X Counselor, Mental Health (Licence: VT 100.0134139TELE) | |
101YM0800X Counselor, Mental Health (Licence: CA LMFT124744) | |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-04-19 |