NPI | 1417347683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9397) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
106H00000X Marriage & Family Therapist (Licence: CA 119044) | |
Enumeration Date | 2015-01-27 |
Last Update Date | 2021-12-02 |