NPI | 1417977588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC33338) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC33338) |
101YP2500X Counselor, Professional (Licence: Mft33338) | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2024-09-11 |